title: Evaluation of the current management protocols for prophylaxis against Pneumocystis jiroveci pneumonia and other opportunistic infections in patients living with HIV/AIDS.
abstract: Opportunistic infections (OIs) are a leading cause of mortality and morbidity in patients living with HIV/AIDS. Data on the proper administration of prophylactic regimes for the prevention of OIs in such patients are scarce. A total of 205 confirmed HIV-infected patients were enrolled in the study from the inpatient wards and outpatient services. The treatment given to them for the prevention of Pneumocystis carinii (jiroveci) pneumonia was compared with the established guidelines and the proportions of those receiving proper treatment were calculated. Primary prophylaxis was seen to be satisfactory in the case of P. carinii (jiroveci) pneumonia. The prophylaxis was not given properly for tuberculosis and other common OIs. Secondary prophylaxis was up to the mark. Prophylaxis in AIDS patients seems to be a major problem area and a lot of efforts need to be directed toward it since patients suffering from AIDS are bound to have a downhill course despite provision of all available treatment options.
authors.affiliation: Department of Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
authors.forename: Sheel Bhadra
authors.initials: SB
authors.lastname: Jain
authors.forename: Naveet
authors.initials: N
authors.lastname: Wig
authors.forename: Sajan Jiv Singh
authors.initials: SJ
authors.lastname: Nagpal
authors.forename: Nitin
authors.initials: N
authors.lastname: Mishra
authors.forename: Madhu
authors.initials: M
authors.lastname: Vajpayee
authors.forename: Randeep
authors.initials: R
authors.lastname: Guleria
authors.forename: Ravindra Mohan
authors.initials: RM
authors.lastname: Pandey
authors.forename: Surendra K
authors.initials: SK
authors.lastname: Sharma
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000517:prevention & control*; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D019983:Guideline Adherence; D015658:HIV Infections / Q000150:complications; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D045363:Pneumocystis carinii; D011020:Pneumonia, Pneumocystis / Q000150:complications / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D011314:Preventive Health Services / Q000379:methods* / Q000592:standards; D011446:Prospective Studies; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000517:prevention & control; D055815:Young Adult